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Follow My Health Proxy Access Request and Authorization Form 1. Patient Information: Patient Name: ___ Date of Birth: ___ Last First M.I. Address: ___ Street Address City, State Zip Code 2. Proxy
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How to fill out follow my health proxy

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How to fill out follow my health proxy

01
Go to the Follow My Health website or app
02
Log in using your credentials
03
Navigate to the proxy section in your account settings
04
Add the necessary information for your designated proxy
05
Save the changes

Who needs follow my health proxy?

01
Individuals who may need follow my health proxy include those who have difficulty managing their own medical care, individuals with chronic illnesses, and elderly individuals who may need assistance with their healthcare decisions.
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Follow my health proxy is a legal document that allows an individual to appoint another person to make medical decisions on their behalf in case they are unable to do so.
Any adult who wants to ensure that their medical wishes are carried out in the event they become incapacitated should file a follow my health proxy.
To fill out follow my health proxy, one must specify the person they choose to make medical decisions on their behalf, provide detailed medical instructions, and sign the document in the presence of witnesses.
The purpose of follow my health proxy is to ensure that an individual's medical wishes are followed in case they are no longer able to make decisions for themselves.
Follow my health proxy must include the appointed healthcare proxy, specific medical instructions, and any additional preferences regarding medical treatment.
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